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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Andrew, Joshua
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Health Professions Medicine & Pharmacology Public Health

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Paper-Based versus Mobile Apps for Colorectal Cancer Screening in COVID-19 Pandemic Setting Handaya, Adeodatus Yuda; Hardianti, Mardiah Suci; Rinonce, Hanggoro Tri; Werdana, Victor Agastya Pramudya; Fauzi, Aditya Rifqi; Andrew, Joshua; Hanif, Ahmad Shafa; Tjendra, Kevin Radinal; Aditya, Azriel Farrel Kresna
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 11 No. 1 (2023): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V11.I1.2023.19-25

Abstract

Background: The incidence of colorectal cancer (CRC) in Asia has kept increasing in the last decade. The morbidity and mortality for CRC can be reduced with early detection; however, mass CRC screening with imaging modalities such as colonoscopy, CT scan, or MRI is unfeasible in developing countries such as Indonesia. Asia Pacific Colorectal Screening (APCS) is utilized to stratify individual CRC risk. Online screening via mobile application is an alternative method to ensure the continuity of community screening without risking COVID-19 transmission. Objective: We conducted a descriptive study to evaluate CRC risk using APCS in two different villages. Methods: This is a cross-sectional study involving 925 and 207 subjects in 2019 and 2020, respectively. The APCS survey in 2019 was done before the COVID-19 pandemic with paper-based questionnaires and direct assessment by door-to-door approach. Meanwhile, the APCS survey in 2020 was done during the COVID-19 pandemic using websites and mobile apps available for Android and iOS. We gathered participants' characteristics and the APCS score in both groups and tabulated them. Results: In 2019, out of 925 subjects; 472 (51%) have been classified an average risk of CRC, 370 (40%) have been classified as having a moderate risk of CRC, and 83 (9%) have been classified as in high risk of CRC. In 2020, out of 207 subjects; 106 (51.2%) have been classified as the average risk of CRC, 86 (41.5%) have been classified as the moderate risk of CRC, and 15 (7.3%) have been classified as high risk of CRC. Conclusion: Although there was a decrease in the participation of the screening program with mobile applications in the pandemic era compared with paper-based questionnaires before the pandemic era, online screening using APCS in mobile applications is a preferred alternative for an effective screening method in this pandemic and possibly in the future in Indonesia.
Ileocolonic transposition in an HIV patient with an esophageal stricture: A case study Handaya, Adeodatus Yuda; Andrew, Joshua; Susilo, Naufal Caesario Jouhari; Subroto, Polycarpus David; Azriel Farrel Kresna Aditya; Prakosa, Yovan Indra Bayu; Arianda, Daldy; Tyanti, Belvia Adelaida Maiya
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 16, No 1, (2025)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol16.Iss1.art14

Abstract

Introduction: Esophageal strictures in patients with HIV (Human immunodeficiency virus) are poorly understood in terms of pathogenesis, prevalence, incidence, and surgical management. Case Presentation: This case study is a 50-year-old man who has had trouble swallowing for ten months, which has left him unable to swallow for the past nine months. Clinical examination revealed thoracic esophageal constriction ranging from Vertebra thoracal (VTh) 4-5. Endoscopic findings revealed a convoluted, constricted lumen that impeded scope passage. A contrast-enhanced computed tomography (CT) scan on eight months ago revealed esophageal constriction, with suspicions of tuberculoma and fibrosis in the right upper lung. Reactive HIV results prompted anti-HIV therapy, supported by fine needle aspiration biopsy (FNAB) results, which demonstrated no evidence of malignancy but indicated granulomatous inflammation. Preoperative evaluations, including negative interferon-gamma release assay (IGRA) and sputum Acid-Fast Bacilli (AFB) tests, cleared the way for a three-hour ileocolonic transposition procedure. The procedure involved median and substernal incisions, dissection of the terminal ileum and the right colon as a graft, retrosternal tunnelling, and anastomosis with cervical oesophagus, which resulted in positive outcomes. A week later, the patient reported increased comfort, recovered eating and drinking abilities, and successful surgical incision healing. Conclusion: The ileocolonic transposition appears to be a potential therapeutic option. This safe and effective alternative not only addresses dysphagia but also improves the overall quality of life.
Co-Authors Adeodatus Yuda Handaya Aditya, Azriel Farrel Kresna Arianda, Daldy Azriel Farrel Kresna Aditya Fauzi, Aditya Rifqi Hanggoro Tri Rinonce Hanif, Ahmad Shafa Mardiah Suci Hardianti Prakosa, Yovan Indra Bayu Subroto, Polycarpus David Susilo, Naufal Caesario Jouhari Tjendra, Kevin Radinal Tyanti, Belvia Adelaida Maiya Werdana, Victor Agastya Pramudya